ISSN: 1302-1192 / E-ISSN: 2458-9101
A Theoretical Integration within Obsessive-Compulsive Disorder (OCD) and Dissociative Spectrums: Obsessional Dissociation
Abdullah Yıldırım, Murat Boysan
Sleep and Hypnosis: A Journal of Clinical Neuroscience and Psychopathology 2018; Online Ahead of Print
Aardema, F., Moulding, R., Radomsky, A. S., Doron, G., Allamby, J., & Souki, E. (2013). Fear of self and obsessionality: Development and validation of the Fear of Self Questionnaire. Journal of Obsessive-Compulsive and Related Disorders, 2(3), 306-315. doi:10.1016/j.jocrd.2013.05.005

Aardema, F., & Wu, K. D. (2011). Imaginative, dissociative, and schizotypal processes in obsessive-compulsive symptoms. Journal of Clinical Psychology, 67(1), 74-81. doi:10.1002/jclp.20729

Abramowitz, J. S., McKay, D., & Storch, E. A. (2017). The Wiley handbook of obsessive compulsive disorders: Wiley.

Belli, H., Ural, C., Vardar, M. K., Yesilyurt, S., & Oncu, F. (2012). Dissociative symptoms and dissociative disorder comorbidity in patients with obsessive-compulsive disorder. Comprehensive Psychiatry, 53(7), 975-980. doi:10.1016/j.comppsych.2012.02.004

Belli, H., Ural, C., Yesilyurt, S., Vardar, M. K., Akbudak, M., & Oncu, F. (2013). Childhood trauma and dissociation in patients with obsessive compulsive disorder. West Indian Medical Journal, 62(1), 39-44. doi:West Indian Med J

Besiroglu, L., Agargun, M. Y., Boysan, M., Eryonucu, B., Gulec, M., & Selvi, Y. (2005). The assessment of obsessive-compulsive symptoms: Reliability and validity of the Padua Inventory in Turkish population. Turkish Journal of Psychiatry, 16(3), 179-189.

Boon, S., Steele, K., & van der Hart, O. (2011). Coping with trauma-related dissociation: Skills training for patients and therapists: W. W. Norton & Company.

Boysan, M. (2015). Dissociative experiences are associated with obsessive-compulsive symptoms in a non-clinical sample: a latent profile analysis. Archives of Neuropsychiatry, 51, 253-262.

Boysan, M. (2016). Associations between dissociation and post-traumatic stress response. In C. R. Martin, V. R. Preedy, & V. B. Patel (Eds.), Comprehensive guide to post-traumatic stress disorder (pp. 1-16). New York, NY: Springer.

Boysan, M., & Çam, Z. (2016). An investigation into the role of attachment insecurities in obsessive-compulsive symptoms. British Journal of Guidance & Counselling, 1-16. doi:10.1080/03069885.2016.1262533

Boysan, M., Goldsmith, R. E., Çavuş, H., Kayri, M., & Keskin, S. (2009). Relations among anxiety, depression, and dissociative symptoms: the influence of abuse subtype. Journal of Trauma & Dissociation, 10(1), 83-101. doi:10.1080/15299730802485185

Boysan, M., Yildirim, A., Besiroglu, L., Kefeli, M. C., & Kagan, M. (2018). Development and preliminary psychometric properties of an instrument for the measurement of obsessional dissociative experiences: the Van Obsessional Dissociation Questionnaire (VOD-Q). Psychiatric Quarterly. doi:

Butler, L. D., Duran, R. E., Jasiukaitis, P., Koopman, C., & Spiegel, D. (1996). Hypnotizability and traumatic experience: a diathesis-stress model of dissociative symptomatology. American Journal of Psychiatry, 153(7 Suppl), 42-63. doi:10.1176/ajp.153.8.A42

Carlson, E. B., & Putnam, F. W. (1993). An update on the Dissociative Experiences Scale. Dissociation, 6, 16-27.

Chu, J. A. (2011). Rebuilding shattered lives: Treating complex PTSD and dissociative disorders. New York, NY: John Wiley & Sons.

Clark, D. A. (2004). Cognitive-behavioral therapy for OCD. New York, NY: Guilford.

Dell, P. F., & O'Neil, J. A. (2015). Dissociation and the dissociative disorders: DSM-V and beyond. New York, NY: Routledge.

Doron, G., & Kyrios, M. (2005). Obsessive compulsive disorder: A review of possible specific internal representations within a broader cognitive theory. Clinical Psychology Review, 25(4), 415-432. doi:10.1016/j.cpr.2005.02.002

Doron, G., Moulding, R., Nedeljkovic, M., Kyrios, M., Mikulincer, M., & Sar-El, D. (2012). Adult attachment insecurities are associated with obsessive compulsive disorder. Psychology and Psychotherapy-Theory Research and Practice, 85(2), 163-178. doi:10.1111/j.2044-8341.2011.02028.x

Fontenelle, L. F., Domingues, A. M., Souza, W. F., Mendlowicz, M. V., de Menezes, G. B., Figueira, I. L., & Versiani, M. (2007). History of trauma and dissociative symptoms among patients with obsessive-compulsive disorder and social anxiety disorder. Psychiatric Quarterly, 78(3), 241-250. doi:10.1007/s11126-007-9043-1

Giesbrecht, T., Lynn, S. J., Lilienfeld, S. O., & Merckelbach, H. (2008). Cognitive processes in dissociation: an analysis of core theoretical assumptions. Psychological Bulletin, 134(5), 617-647. doi:10.1037/0033-2909.134.5.617

Goff, D. C., Olin, J. A., Jenike, M. A., Baer, L., & Buttolph, M. L. (1992). Dissociative symptoms in patients with obsessive-compulsive disorder. Journal of Nervous and Mental Disease, 180(5), 332-337. doi:Doi 10.1097/00005053-199205000-00008

Grabe, H. J., Goldschmidt, F., Lehmkuhl, L., Gansicke, M., Spitzer, C., & Freyberger, H. J. (1999). Dissociative symptoms in obsessive-compulsive dimensions. Psychopathology, 32(6), 319-324. doi:Doi 10.1159/000029105

Guidano, V. F., & Liotti, G. (1983). Cognitive processes and emotional disorders. New York, NY: Guilford.

Holmes, E. A., Brown, R. J., Mansell, W., Fearon, R. P., Hunter, E. C. M., Frasquilho, F., & Oakley, D. A. (2005). Are there two qualitatively distinct forms of dissociation? A review and some clinical implications. Clinical Psychology Review, 25(1), 1-23. doi:10.1016/j.cpr.2004.08.006

Kadak, M. T., Nasiroglu, S., Boysan, M., & Aydin, A. (2013). Risk factors predicting posttraumatic stress reactions in adolescents after 2011 Van earthquake. Comprehensive Psychiatry, 54(7), 982-990. doi:10.1016/j.comppsych.2013.04.003

Lanius, R. A., Vermetten, E., Loewenstein, R. J., Brand, B., Schmahl, C., Bremner, J. D., & Spiegel, D. (2010). Emotion modulation in PTSD: Clinical and neurobiological evidence for a dissociative subtype. American Journal of Psychiatry, 167(6), 640-647. doi:10.1176/appi.ajp.2009.09081168

Liotti, G. (2004). Trauma, dissociation, and disorganized attachment: Three strands of a single braid. Psychotherapy, 41(4), 472-486. doi:10.1037/0033-3204.41.4.472

Lochner, C., du Toit, P. L., Zungu-Dirwayi, N., Marais, A., van Kradenburg, J., Seedat, S., . . . Stein, D. J. (2002). Childhood trauma in obsessive-compulsive disorder, trichotillomania, and controls. Depression and Anxiety, 15(2), 66-68. doi:10.1002/da.10028

Lochner, C., Seedat, S., Hemmings, S. M. J., Kinnear, C. J., Corfield, V. A., Niehaus, D. J. H., . . . Stein, D. J. (2004). Dissociative experiences in obsessive-compulsive disorder and trichotillomania: Clinical and genetic findings. Comprehensive Psychiatry, 45(5), 384-391. doi:10.1016/j.comppsych.2004.03.010

Maaranen, P., Tanskanen, A., Hintikka, J., Honkalampi, K., Haatainen, K., Koivumaa-Honkanen, H., & Viinamaki, H. (2008). The course of dissociation in the general population: a 3-year follow-up study. Comprehensive Psychiatry, 49(3), 269-274. doi:10.1016/j.comppsych.2007.04.010

Mataix-Cols, D., do Rosario-Campos, M. C., & Leckman, J. F. (2005). A multidimensional model of obsessive-compulsive disorder. American Journal of Psychiatry, 162(2), 228-238. doi:DOI 10.1176/appi.ajp.162.2.228

Mathews, C. A., Kaur, N., & Stein, M. B. (2008). Childhood trauma and obsessive-compulsive symptoms. Depression and Anxiety, 25(9), 742-751. doi:10.1002/da.20316

Muller, J., & Roberts, J. E. (2005). Memory and attention in obsessive-compulsive disorder: a review. Journal of Anxiety Disorders, 19(1), 1-28. doi:10.1016/j.janxdis.2003.12.001

Norton, G. R., Ross, C. A., & Novotny, M. F. (1990). Factors That Predict Scores on the Dissociative Experiences Scale. Journal of Clinical Psychology, 46(3), 273-277. doi:Doi 10.1002/1097-4679(199005)46:3<273::Aid-Jclp2270460304>3.0.Co;2-X

Ogawa, J. R., Sroufe, L. A., Weinfield, N. S., Carlson, E. A., & Egeland, B. (1997). Development and the fragmented self: longitudinal study of dissociative symptomatology in a nonclinical sample. Development and Psychopathology, 9(4), 855-879.

Paradisis, S. M., Aardema, F., & Wu, K. D. (2015). Schizotypal, dissociative, and imaginative processes in a clinical OCD sample. Journal of Clinical Psychology, 71(6), 606-624.

Pica, M., Beere, D., & Maurer, L. (1997). The overlap between dissociative and obsessive-compulsive disorders: A theoretical link. Dissociation, 10, 38–43.

Rachman, S., & De Silva, P. (1978). Abnormal and normal obsessions. Behaviour Research and Therapy, 16, 233–248. doi:10.1016/0005-7967(78)90022-0

Ross, C. A., Joshi, S., & Currie, R. (1990). Dissociative experiences in the general population. American Journal of Psychiatry, 147(11), 1547-1552. doi:

Rufer, M., Fricke, S., Held, D., Cremer, J., & Hand, I. (2006). Dissociation and symptom dimensions of obsessive-compulsive disorder - A replication study. European Archives of Psychiatry and Clinical Neuroscience, 256(3), 146-150. doi:10.1007/s00406-005-0620-8

Salkovskis, P. M., & Harrison, J. (1984). Abnormal and normal obsessions: A replication. Behaviour Research and Therapy, 22(5), 549-552. doi:Doi 10.1016/0005-7967(84)90057-3

Schimmenti, A., & Caretti, V. (2016). Linking the overwhelming with the unbearable: Developmental trauma, dissociation, and the disconnected self. Psychoanalytic Psychology, 33(1), 106-128. doi:10.1037/a0038019

Soffer-Dudek, N. (2014). Dissociation and dissociative mechanisms in panic disorder, obsessive–compulsive disorder, and depression: A review and heuristic framework. Psychology of Consciousness: Theory, Research, and Practice, 1(3), 243. doi:10.1037/cns0000023

Soffer-Dudek, N., Lassri, D., Soffer-Dudek, N., & Shahar, G. (2015). Dissociative absorption: An empirically unique, clinically relevant, dissociative factor. Consciousness and Cognition, 36, 338-351. doi:10.1016/j.concog.2015.07.013

Tapancı, Z., Yıldırım, A., & Boysan, M. (2018). Neurological soft signs, dissociation and alexithymia in patients with obsessive-compulsive disorder (OCD) and healthy subjects. Psychiatry Research.

Van Oppen, P. (1992). Obsessions and compulsions: dimensional structure, reliability, convergent and divergent validity of the Padua Inventory. Behaviour Research and Therapy, 30, 631–637.

Vanderlinden, J., Van der Hart, O., & Varga, K. (1996). European studies of dissociation. In L. K. Michelson & W. J. Ray (Eds.), Handbook of dissociation (pp. 25-49). New York, NY: Springer.

Waller, N. G., Putnam, F. W., & Carlson, E. B. (1996). Types of dissociation and dissociative types: A taxometric analysis of dissociative experiences. Psychological Methods, 1(3), 300-321. doi:Doi 10.1037/1082-989x.1.3.300

Watson, D., & Wu, K. D. (2002). Development and validation of the Schedule of Compulsions, Obsessions, and Pathological Impulses (SCOPI). Unpublished manuscript, Department of Psychology, University of Iowa, Iowa City.

Watson, D., Wu, K. D., & Cutshall, C. (2004). Symptom subtypes of obsessive-compulsive disorder and their relation to dissociation. Journal of Anxiety Disorders, 18(4), 435-458. doi:10.1016/S0887-6185(03)00029-X

Yargic, L. I., Tutkun, H., & Sar, V. (1995). The reliability and validity of the Turkish version of the Dissociative Experiences Scale. Dissociation, 8, 10-13.